| NPI | 1609457993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1048575) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1048575) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 856250) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-08-08 |